Organization
MITCHEL ASHKANAZY
Active
Parent organization
MITCHEL ASHKANAZY
Other names
Mitchel Ashkanazy MD, Mitchel Ashkanazy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MITCHEL ASHKANAZY
Authorized official
MITCHEL ASHKANAZY MD (OWNER)
(973) 838-1211
Entity
Organization
Contact information
Practice address
170 KINNELON RD RM 27, KINNELON, NJ 07405-2351
(973) 838-1211
(973) 838-1251
Mailing address
170 KINNELON RD RM 27, KINNELON, NJ 07405-2351
(973) 838-1211
(973) 838-1251
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA04065200
NJ DIVISION OF CONSUMER AFFAIRS - MEDICAL LICENSE
NJ
Enumeration date
12/10/2021
Last updated
12/10/2021
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